Wednesday, September 8, 2010

GI Bleed Home Care Path

Bleeding in the gastro intestinal tract (GI Bleed) can be due to inflammation (gastritis) and breaks in the integrity (ulcers) of the lining of the GI tract. This bleeding is not visible to the naked eye. Medical staff of the hospital's GI department have been trained to assess the severity of a GI bleed.

The first signs of a GI bleed are weakness, anxiety, and excessive perspiration. With a GI bleed the senior is losing red blood cells (RBC). Red blood cells carry the oxygen and nutrients to feed the internal perimeter of the body. When red blood cells have been lost due to a GI bleed the senior will feel fatigued and may feel short of breath.

Blood loss can cause the body temperature to rise. The senior may spike a body temperature greater than 98.6 degrees. The bowel can become hyperactive due to sensitivity to the blood. The bowel will emit hyperactive bowel sounds which can be heard with a stethoscope.

The blood loss can cause a reduction in the blood pressure. The nervous system releases catecholamines, epinephrine, and nor epinephrine to increase the heart rate and constrict the vessels to keep blood pressure up. The heart beats faster to send more blood through the vessels. The vessels constrict, tighten making the body believe the amount of blood is staying the same. This compensates for the loss of blood.

GI bleeds can be chronic or acute. An acute GI bleed comes on and is over fairly quickly. A chronic GI bleed continues for a long time, has a long duration. An acute GI bleed means it has been corrected and is not continueing to show itself (leaking more blood). A chronic GI bleed indicates the blood loss has been slowed, but is continueing. With the chronic GI bleed ongoing monitoring with diagnostic testing is required. Every so often the senior would receive a blood transfusion to replace the loss.

Diagnositic testing for GI bleed involves monitoring the levels of hemoglobin (HGB), hematocrit (HCT), and white blood cell (WBC) count. Normal hemoglogin values for a male are 13-18, for a female are 12-16, with a GI bleed values will read lower. Normal hematocrit values for a male are 45-52, for a female are 37-48, with a GI bleed the values will read lower. Normal white blood cell values are 4.3-10.8, with a GI bleed the values will read higher.

Home Care Path www.homecarepath.com staff can help seniors organize provider appointment schedules.

Tuesday, September 7, 2010

Altered Memory Home Care path

When a seniors memory has been altered the mind can compensate with emotion focused behaviors. Emotion focused behaviors can be most evident with a problem. Emotion is a strong feeling. Feelings are generated from the senses, touch, taste, smell, sight, and hearing. With memory loss the emotions can respond and catch the seniors attention quicker. Emotion focused behaviors can be described as purposeful but not always productive.

Minimization is an emotional response to a problem. Minmize is to reduce the problem to the smallest size possible, rendering it unimportant. This can appear useful as it provides the senior with needed time to assess the problem. Minimization is unproductive if the senior dismisses the problem and does not reach out for help.

Projection, displacement, and suppression of anger occur when the senior expresses anger toward a less threatening thing or person. The senior kicks the leg of a coffee table shouting I should saw you off for that. The senior satisfies the immediate (emotion) feeling by expressing the anger toward the toward the person or object near by. This lessens the threat to a point the senior is better able to deal with it. The difficulty is reality can be distorted as in the wood coffee table extended a leg to trip the senior. The disturbance of relationships can occur with the senior shouting out to persons in the room. Suppressing the anger can lead to stress related physical symptoms.

Anticipatory preparation is the mental rehearsal of possible consequences of behavior or outcomes of stressful situations. Many senior organizations use what to do lists for mock emergencies. The lists often involve placement of the phone and important numbers in the room the seniors spends most of the time. Preparation can help the senior to develop some perspective as well as prepare for the worst. When this anticipation creates unmanageable stress, as in the neighbor fell and broke a hip in their own home, I have a lot to do. Spending large periods of time (worry) dwelling on a problem that may occur is not productive.

Attribution is the finding of personal meaning in the problem. This is my luck, the will of the divine, or personal karma that this problem should reoccur in my life. This can provide a sense of comfort for the senior. Attribution is not productive when the senior no longer participates in the process to solve the problem.

Home Care Path www.homecarepath.com staff have been taught to recognize emotion focused behaviors. Home Care Path staff begin by discussing the problem and reviewing all information. Staff and the senior then form a written statement of the problem that all agree on. Staff and the senior then identify the individual that may be able to solve the problem. An appointment is made to meet with the person.

Monday, September 6, 2010

Small Incision Brain Surgery Home Care Path

When asked about brain surgery the fears develop around the increased medical cost, long recovery time, residual scarring, and body disfigurement. Traditional brain surgery involved shaving the hair, peeling back the scalp, sawing off the top half of the skull, and moving around sensitive brain tissue.

Brain surgery is performed to remove an abnormal (tumor) mass of tissue, not inflammatory, arising without obvious cause from the cells of brain tissue, possessing no physiological function.

Brain surgery has embraced methods that do things in a simpler way so patients recover more quickly and the cost is less. The methods are called minimally invasive brain surgery. Brain surgeons have been going through the nose, eye brow, and even the leg. The newest addition to minimally invasive brain surgery is entry through the eye lid.

Entering the brain through the eye lid poses no threat to vision. Under the minicraniotomy, the eye lid is cut at a crease, and a quarter size piece of bone is removed just above the eyebrow. A computer guided endoscope fitted with a camera leads surgical instruments to a tumor needing removal. Once surgery is done a few hours later, the bone is replaced, and a small metal plate is used to hold it in place. A few dissolvable sutures close the eye lid and leave no visible scar.

The use of the eye lid for brain surgery is called transpalpebral orbitofrontral craniotomy. On the average patients return home in two days after brain surgery with some discoloration near the eye lid. Patients describe a fast recovery with little or no visible scarring. Home Care Path www.homecarepath.com staff accompany seniors to provider visits.

Saturday, September 4, 2010

Garlic Allium Sativum Home Care Path

Garlic has long been a folk remedy to reduce the bodies symptoms to infection. Garlic (Allium Sativum) is a European bulbous herb of the lily family. The pungent, strong scented bulb, is composed of smaller bulbs called cloves. Garlic is used globally in cooking recipes.

Garlic was widely used in Russia and known as Russian penicillin. Researchers using garlic extract in a lab killed nearly one hundred percent of both human rhinovirus (colds) and para influenza three (flu) a respiratory virus. Hundreds of lab tests have shown garlic has strong antibacterial and antiviral properties.

Researchers have documented garlic's ability to augment immune function. Garlic stimulates the potency of T-lymphocytes and macrophages, key players in the bodies immune function. In the lab garlic extract prodded macrophages to generate more agents to kill unwanted microbes and tumor cells. Garlic has been categorized as a biological response modifier and is used as a pharmaceutical model for developing cancer treatments.

So when you feel a sore throat coming on eat some garlic. The home remedy for colds is to eat several cloves of raw garlic at the first on set of symptoms. Cut the garlic in chunks and swallow them like pills. If the garlic is giving you gas (flatulence) eat less of it. Persons who suffer from chronic infections (recurring yeast infection) try eating one to two cloves of garlic everday.

Source Jean Carper Food Your Miracle Medicine

Friday, September 3, 2010

Alzheimer's Study Dean Foundation Home Care Path

Dean Health Foundation of Madison Wisconsin is participating in an Alzheimer's study. The study is being conducted in approximately 70 sites throughout North America and Europe. Study is number 554.

A prodromal event is an early sign or warning of a developing disorder. The earliest signs of Alzheimer's disease are memory loss with spinal fluid abnormalities. Spinal fluid abnormalities provide the researchers with lead biological indicators of the disease process. Focus on the beginning stages of Alzheimer's disease is to produce effective treatments for individual's newly diagnosed with the disease.

Phase II of study 554 is to assess the patients response to an investigational medication BMS 708163 Bristol Meyers Squibb. Volunteers will receive study related medical care, study medication, laboratory testing, and cognitive testing. Medical insurance is not necessary to participate in the study. Reimbursement for travel may be available. Home Care Path www.homecarepath.com staff accompany seniors to provider visits. Study participants must have a consistent person to attend the visits.

Contact JoAnn with Dean Foundation 608-827-2333 Madison Wisconsin.

Thursday, September 2, 2010

Stem Cell Dickey Wickered Home Care Path

Stem cells is a very controversial topic in the United States today. Madison Wisconsin is the residence of The Stem Cell and Regenerative Medicine Center. Researchers in Madison Wisconsin working with cells receive millions of dollars in federal grant money.

Stem cells are considered a master cell to the human body. From a stem cell any tissue on the body can be generated. Health organizations believe stem cell research holds the solution to treatments for spinal cord injuries, Parkinson's disease, and other functional physical deficits.

Stem cells are seperated from a human being in the embryonic stages of development. Separating the stem cells from the human being in the embryonic stages of development results in death. The Dickey- Wicker amendment (a 1996 law) prohibits the use of tax payer dollars in work that destroys a human embryo.

Following the Dickey- Wicker amendment stem cell researchers used private companies (no use of public money) to separate the stem cells from the human being in the embryonic stages of development. From the separated stem cells researchers started growing batches of stem cells in the laboratory.

Researchers were now using stem cells grown in labs. Growing the stem cells in a laboratory allowed the research facility to accept public money (federal grants) to fund the projects. In late August 2010 United States District Judge Royce Lamberth blocked goverment funding of embryonic stem cell research. Judge Royce Lamberth signed the restraining order after ruling that the argument in a pending lawsuit- that the research violates the intent of the 1996 law prohibiting use of tax payer dollars in work that destroys a human embryo- was likely to succeed.

Stem cell research using public money was stopped in health organizations across the United States.

Wednesday, September 1, 2010

Senior Care Employers Rescue Home Care Path

Throughout south central Wisconsin the business owners have become aware that employees need help coordinating in home care for senior parents and family. Business owners can equate absenteeism, replacement of employees, senior care crises, unpaid leave, work day interruptions, inattentiveness (called deer in headlights look), and staff transitioning from full to part time status, to the adverse effect on the bottom line.

One business owner describes an employee who was frequently having to run down to a parents home. The employee was leaving an average of 4 times per full time shift worked. At work the employee was consistently preoccupied and down right worried most of the time. The employee took unpaid leave for the whole day at least once per week to accompany the parent to a medical appointment, blood lab draw, or podiatrist visit.

The employee often feels alone in their efforts to provide care for a parent or senior family member. Most individuals caring for an older family member report their needs are over whelming. Some adult children recall watching their parents struggle to care for their parents. Working full time with children in the home and parents who need help.

Fortunately Home Care Path www.homecarepath.com a senior care provider for south central Wisconsin has staff trained to help the employer and the employee. Home Care Path comes to the seniors home and helps them with meal preperation, medication reminders, setting up bath, dressing, pet care, oral care, hair care, taking garbage out, accompany to appointments, organizing important papers, companionship, grocery shopping, bringing mail in, and more.

Employees describe the service Home Care Path provides as family friendly. Hours of staffing and in home cares are developed to meet the families unique needs. The service is individualized, and allows for variation of hours from week to week. Families like the choice and flexibility.

Employers like the boost in staff productivity and job satisfaction. Business owners are convinced the service Home Care Path provides is the solution to the senior care giving challenges that make it difficult for employees to keep up with work responsibilities.